Individual
MICHELLE LEIDENIX BOTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
509 E 6TH ST, WHITEFISH, MT 59937-2774
(406) 862-2020
(406) 862-2385
Mailing address
509 E 6TH ST, WHITEFISH, MT 59937-2774
(406) 860-2020
(406) 862-2385
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1562
MT
152W00000X
Optometrist
Primary
MT1562
MT
152W00000X
Optometrist
ND 511
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679519805
—
MT
05
—
60433
—
ND
Enumeration date
06/22/2006
Last updated
04/17/2025
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